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Coronary Anomalies & Staged Revascularization
Coronary Anomalies & Staged Revascularization

... 285 patients with an evolving MI 163 pts had 2 vessel disease 122 pts had 3 vessel disease Angioplasty performed on IRA and other vessels 1 yr and 3 yr survivals were 92% and 87% respectively (p<0.001) Global EF increased from 50 to 57% predischarge – Kahn et al, JACC 1990;16:1089-96 ...
CARDIOVASCULAR PHYSIOLOGY
CARDIOVASCULAR PHYSIOLOGY

... Overview of Important Channels in Cardiac Electrophysiology Sodium Channels Fast Na+ ...
Replacement of the aortic valve with a
Replacement of the aortic valve with a

... period because of fluid shifts encountered in the first few days following HeartMate II implantation. The speed typically was adjusted so that there was adequate left ventricular unloading and midline septal alignment, with the aortic valve opening at every third cardiac beat. For patients who underwe ...
3-72 Card ECG cables and leadwires EC53:1995/(R) 2008 05/05
3-72 Card ECG cables and leadwires EC53:1995/(R) 2008 05/05

... Sec. 870.5300 DC-defibrillator (including paddles). (a)Low-energy DC-defibrillator --(1)Identification. A low-energy DC-defibrillator is a device that delivers into a 50 ohm test load an electrical shock of a maximum of 360 joules of energy used for defibrillating (restoring normal heart rhythm) the ...
Electrocardiographic Changes in Diabetes Mellitus
Electrocardiographic Changes in Diabetes Mellitus

... All studies focused on ECG features that are characteristic for the DM patients have some similar limits derived from a fact that these features can be also modified by several other factors in addition to the DM. These factors include particularly concomitant diseases, different drugs used by the D ...
PDF file - Via Medica Journals
PDF file - Via Medica Journals

... membrane [6], while Kaprielian et al. [7] have documented that dystrophin partially colocalizes with costameric vinculin in myocytes and it is absent from ICDs. Therefore, dystrophin also localizes at the Ttubules in cardiac muscle in contrast to its known absence in skeletal muscle T-tubules [8]. O ...
valve
valve

... (c) Second-degree heart block. (d) Ventricular fibrillation. These chaotic, grossly irregular ECG Some P waves are not conducted deflections are seen in acute through the AV node; hence more heart attack and electrical shock. P than QRS waves are seen. In this tracing, the ratio of P waves to QRS wa ...
Atrial Fibrillation and Atrial Flutter
Atrial Fibrillation and Atrial Flutter

...  Digoxin—if digoxin is administered alone and the heart rate remains high, the veterinarian will check the digoxin level and adjust the dose; if the heart rate still remains high, the veterinarian may consider adding a calcium channel blocker or a βadrenergic blocker ...
atrial fibrillation and atrial flutter
atrial fibrillation and atrial flutter

...  Digoxin—if digoxin is administered alone and the heart rate remains high, the veterinarian will check the digoxin level and adjust the dose; if the heart rate still remains high, the veterinarian may consider adding a calcium channel blocker or a βadrenergic blocker ...
Basic principles in ECG
Basic principles in ECG

... The posterior fascicle transmits the electrical impulse toe the posterior inferior region of the left ventricle’s endocardial surface ...
Comprehensive cardiac rehabilitation improves outcome for patients
Comprehensive cardiac rehabilitation improves outcome for patients

... humanistic approach, focusing on psychosocial support and education. The programme was directed towards the parameters that ICDs reportedly affect. The content was made up of information and education focused on managing life with an ICD, including emotional reactions using a holistic view on the pe ...
insight review articles
insight review articles

... cells. Depolarization is mediated by channels or transporters that enable positively charged ions such as Na+ or Ca2+ to enter the cell (or negatively charged ions, usually Cl–, to exit); the reverse is true for repolarization. Many proteins have evolved to mediate the selective flux of ions across ...
Degenerative Valve Disease Explained - New
Degenerative Valve Disease Explained - New

... There are several drugs that can help to relieve clinical signs of degenerative valve disease. The cardiologist may prescribe diuretics (frusemide) to help reabsorb fluid from the lungs. Other medications that increase survival time once congestive heart failure is present such as pimobendin (Vetmed ...
Anti arrhythmic Drugs
Anti arrhythmic Drugs

... site of origin of impulse, rate, or conduction If the arrhythmia arises from atria, SA node, or AV node it is called supraventricular arrhythmia ...
Electrocardiography Review
Electrocardiography Review

... Flipped, or upside-down T waves are sometimes indicitave of ischemia. Patients who are hypoxic often exhibit changes in ventricular repolarization. T waves are normally upright in all leads except aVR. In symptomatic patients, inverted T waves may herald infarction. T waves can also be changed by hy ...
Medicine
Medicine

... With intuitive genius, Servitus proposed that “within the lungs, we find a new kind of vessels proceeding from the arteries to the veins… extremely minute vessels or capillary arteries.” This was proposed a century before Malpighi discovered the pulmonary capillary circulation. The date of Servitus’ ...
Dilated cardiomyopathies in dogs
Dilated cardiomyopathies in dogs

... Immunological causes: Autoantibodies to various components of the myocardium have been shown in dogs with DCM. As above, it is not clear whether these antibodies are the cause or the consequence of cellular damage. ...
G06: Heart (Weyrich)
G06: Heart (Weyrich)

... A patient is diagnosed with cardiac tamponade. Pericardiocentesis is needed to drain fluid from the pericardial cavity to relieve pressure on the heart. To remove fluid a wide bore needle is inserted through the ________ intercostal space near the ____________ and passed superoposteriorly. ...
Isolated Form of Spongy Myocardium
Isolated Form of Spongy Myocardium

... cases in the largest series.5 In the case of our patient, the cause of death of his mother was not determined and cardiological and genetic studies were not made of any other first-degree relative. There is little information on the prognosis and management of these patients.8 In the largest series ...
18 - cloudfront.net
18 - cloudfront.net

... • Pulmonary circulation supplied by right ventricle is a much low pressure system requiring less energy output by ventricle • Systemic circulation supplied by left ventricle is a higher pressure system and thus requires more forceful contractions ...
Extent of the Problem - Miami
Extent of the Problem - Miami

... – Not breathing but has pulse ...
Bradycardia
Bradycardia

... Needs further electrophysiological tests to determine treatment. ...
Spektikor™ - disposable heart rate indicator
Spektikor™ - disposable heart rate indicator

... the device and installing it again at the left side of the chest between the collarbone and the pectoral muscle as in picture 3b. In these cases patient’s heart beat should be checked with alternative means. ...
Effect of ivabradine on recurrent hospitalization for worsening heart
Effect of ivabradine on recurrent hospitalization for worsening heart

... hospital minus the number of days dead, as described elsewhere.18 This parameter was compared between treatment groups by analysis of covariance, adjusted for potential follow-up, to produce an estimate of the mean difference between treatment groups, as well as associated 95% CI and P-values. ...
Folic Acid Deficiency in Congestive Heart Failure - Heart
Folic Acid Deficiency in Congestive Heart Failure - Heart

... The presence of erythroid hyperplasia and bonemarrow megaloblastosis in the congestive heart failure patients studied, and decreased red cell survival in certain instances (4 of 8 patients), is evidence that folic acid requirements in these patients are raised and are not being satisfied (Chanarin, ...
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Cardiac contractility modulation



Cardiac contractility modulation (CCM) is a treatment for patients with moderate to severe left ventricular systolic heart failure (NYHA class II–IV). The short- and long-term use of this therapy enhances both the strength of ventricular contraction and the heart’s pumping capacity. The CCM mechanism is based on stimulation of the cardiac muscle by non-excitatory electrical signals (NES). CCM treatment is delivered by a pacemaker-like device that applies the NES, adjusted to and synchronized with the electrical action in the cardiac cycle.In CCM therapy, electrical stimulation is applied to the cardiac muscle during the absolute refractory period. In this phase of the cardiac cycle, electrical signals cannot trigger new cardiac muscle contractions, hence this type of stimulation is known as a non-excitatory stimulation. However, the electrical CCM signals increase the influx of calcium ions into the cardiac muscle cells (cardiomyocytes). In contrast to other electrical stimulation treatments for heart failure, such as pacemaker therapy or implantable cardioverter defibrillators (ICD), CCM does not affect the cardiac rhythm directly. Rather, the aim is to enhance the heart’s natural contraction (the native cardiac contractility) sustainably over long periods of time. Furthermore, unlike most interventions that increase cardiac contractility, CCM is not associated with an unfavorable increase in oxygen demand by the heart (measured in terms of Myocardial Oxygen Consumption or MVO2). This may be explained by the beneficial effect CCM has in improving cardiac efficiency. A meta-analysis in 2014 and an overview of device-based treatment options in heart failure in 2013 concluded that CCM treatment is safe, that it is generally beneficial to patients and that CCM treatment increases the exercise tolerance (ET) and quality of life (QoL) of patients. Furthermore, preliminary long-term survival data shows that CCM is associated with lower long-term mortality in heart failure patients when compared with expected rates among similar patients not treated with CCM.
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